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Diagnosis

Authoring team

The diagnosis of gallstone ileus requires two out of three of:

  • small bowel obstruction
  • a gallstone seen on abdominal X-ray
  • air in the biliary tree on abdominal X-ray

Additionally, a barium meal may show reflux into the gallbladder and biliary tree through a fistula.

An intravenous cholangiogram is not of use in diagnosis.

Reference

  1. Shekhda KM, Abro AH, Gupta A, et al; Gallstone Ileus. Chonnam Med J. 2021 Jan;57(1):91-92.

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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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